Perfluoro compound and emulsion thereof

ABSTRACT

A novel compound of the formula, ##STR1## wherein R denotes a lower perfluoroalkyl group l is an integer of 3 or 4, n+m is an integer of 2 or 3, provided that n may be zero, and at least one of ring A and ring B may be substituted by a lower perfluoroalkyl group, prepared by reacting the corresponding perhydro compound with fluorine is useful as a material capable of carrying oxygen in an aqueous emulsion for lifesaving a patient suffering from massive hemorrhage and for preserving internal organs in transplantation.

This invention relates to a novel perfluoro compound.

More particularly, this invention relates to a perfluoro compound represented by the formula ##STR2## wherein R denotes a lower perfluoroalkyl group, l is an integer of 3 or 4, m+n is an integer of 2 or 3, provided that n may be zero, and at least one of ring A and ring B may be substituted by a lower perfluoroalkyl group.

In the general formula (I) given above, since l denotes an integer of 3 or 4, and m+n denotes 2 or 3, the ring A and the ring B each represents a five-membered or a six-membered ring, and together form a condensed ring.

As the condensed ring formed by the ring A and B, there can be cited perhydro-quinoline, -isoquinoline, -indole, -isoindole, -cyclopenta[b]pyrrole, -cyclopenta[c]pyrrole, -pyrindine, -isopyrindine or the like, all of which have been perfluorinated.

In the general formula (I), the lower perfluoro-alkyl group denoted by R may be either of straight chain or of branched chain. Examples thereof include those having 1-4 carbon atoms, such as perfluoro-methyl group, perfluoroethyl group, perfluoro-n-propyl group, perfluoro-isopropyl group, perfluoro-n-butyl group, perfluoro-isobutyl group, perfluoro-sec-butyl group or perfluoro-tert-butyl group.

The ring A and/or the ring B may be substituted at any position thereof by one or more than one (preferably one or two) lower perfluoroalkyl group(s) in addition to the above-mentioned substituent denoted by R. Examples of the lower perfluoroalkyl group suitable as such a substituent are similar to those which were described above referring to R. In case where two or more of said substituents are present, they may be different from each other.

The compound of the formular (I) according to the present invention can be prepared by fluorinating a corresponding known perhydro compound. The methods of fluorination include, for example, direct fluorination, fluorination by use of cobalt fluoride, and electrolytic fluorination. ##STR3## R¹ is a lower alkyl group.

The preparation of the compound represented by the formula (I) according to this invention is preferably performed by the electrolytic fluorination method. This is performed, for example, by mixing anhydrous hydrogen fluoride and a perhydro compound used as the starting compound in an electrolytic cell and, after dissolving the mixture, subjecting the resulting solution to electrolysis. The voltage, the current density at the anode, and the temperature of electrolytic solution in said electrolysis are 3-9 V, 1-300 A/dcm², and 4°-10° C., respectively.

The compound of formula (I) thus formed precipitates in the lower layer of the electrolytic cell, being insoluble in anhydrous hydrofluoric acid. The isolation and purification of the compound from the precipitate are carried out, for example, adding a mixture of equal volumes of an aqueous solution of alkali and an amine compound to the recovered precipitate, refluxing, then separating the lowermost layer containing the objective compound of formula I (the partially fluorinated compounds going into the amine layer in this separation), washing the former layer with an aqueous acetone solution containing suitable amount of potassium iodide to remove compounds having a fluorine atom bonded to the nitrogen atom, and by subsequent fractional distillation to obtain the fraction of the objective compound.

According to the present invention, there is also provided an emulsion of the perfluoro compound of the formula (I).

Since the compound of the formula (I) of this invention is capable of dissolving a large amount of oxygen, metabolically inert, and can be excreted rapidly from the body, it is useful to be used as a perfluorocarbon compound emulsion for clinical purpose which is capable of carrying oxygen and can be used for saving the life of a patient suffering from massive hemorrahgeing and for preserving internal organs in transplantation.

It has been already reported that the perfluorocarbon compound emulsion may possibly be used as a red cells substitute for mammals and as a perfusion fluid for preservation of internal organs to be transplanted, particularly as a substitute infusion fluid capable of transporting oxygen. There are reported, for example, perfluoro cyclic carbon compounds, such as perfluoromethylcyclohexane, perfluoro-1,3-dimethylcyclohexane, perfluorodecalin and perfluoromethyldecalin (U.S. Pat. No. 3,911,138 and U.S. Pat. No. 3,962,439), perfluoro tert-alkylamines (U.S. Pat. No. 3823091), perfluoro alkyltetrahydropyrans, perfluoro alkyltetrahydrofurans, perfluoro N-alkylpyridines, and perfluoro N-alkylmorpholines or mixtures thereof (U.S. Pat. No. 4,252,827).

There are, however, disclosed no such perfluoro(heterocyclic amines) having a condensed ring structure as shown in Formula (I).

The perfluoro compounds of the present invention can be used alone or in mixture as oxygen transporting material in an emulsion thereof. Those having 8 to 12 carbon atoms, and preferably 9 to 11 carbon atoms are preferable for the purpose, and in some cases the lower perfluoroalkyls denoted by R in Formula (I) may preferably have 1 or 2 carbon atoms. Also, the rings A and B in the formula may be either substituted or unsubstituted by a lower perfluoroalkyl, and if substituted, they may preferably have a perfluoroalkyl of 1 or 2 carbon atoms.

The preferred perfluoro compounds of the present invention are shown as the objective compounds in Compound Preparation Examples 1 to 97.

In fluorocarbon compound emulsions, the size of particle plays an important role in the toxicity and efficacy of the emulsion [K. Yokoyama, K. Yamanouchi, M. Watanabe, R. Murashima, T. Matsumoto, T. Hamano, H. Okamoto, T. Suyama, R. Watanabe, and R. Naitoh: Preparation of perfluorodecalin emulsion, an approach to the red cells substitute, Federation Proceeding, 34,1478-1483 (May, 1975)]. An emulsion of larger particle size is more toxic and shorter in retention time of the particles in the blood stream. Accordingly, when the fluorocarbon compound emulsion is intended for use as an artificial blood substitute for saving the life of a patient suffering from massive hemorrhageing, its average particle size should be 0.3μ or less in diameter, preferably 0.2μ or less (U.S. Pat. No. 3,958,014).

In addition to having the desired particle size, it is necessary, in order that the fluorocarbon compound emulsion may be used as a blood substitute, that after completing its original role of transporting oxygen, the intravenously administered fluorocarbon compound must be excreted from the body as rapidly as possible. Moreover, the emulsion should be stable to thermal sterilization and in storage for a long period of time. Also, the emulsion should allow the addition thereto of a plasma expander such as hydroxyethyl-starch (HES) and dextran.

The perfluoro compound of the present invention satisfies all of the above-mentioned requirements.

The attached drawings show the changes of the amounts of perfluoro compound accumulated in internal organs with time after the perfluoro compound emulsions of this invention have been administered to animals. FIG. 1 shows the above-mentioned change with time in the liver of Wister strain rat, and FIG. 2 shows that in the spleen.

The present emulsion is an oil-in-water type emulsion containing perfluoro compounds dispersed in water. The proportion of perfluoro compounds in the emulsion is 5-50%(W/V), preferably 10-40%(W/V).

The symbol "% (W/V) referred to in the specification and claim of this application means the amount proportion of a material by weight (gram) based on 100 ml of the resulting emulsion.

The preparation of the emulsion can be carried out in any known method so long as the above-mentioned requirements are satisfied. But a method using high pressure injection is preferably employed wherein, according to the method described in U.S. Pat. No. 4,252,827 for example, high-molecular-weight nonionic surface active agent is used as emulsifier, and phospholipid and fatty acid are used as emulsifying adjuvant.

The high-molecular-weight nonionic surface active agent suitable for the present emulsion has a molecular weight of 2,000 to 20,000 and includes, for example, polyoxyethylene-polyoxypropylene copolymers, polyoxyethylene fatty acid esters and polyoxyethylene-castor oil derivatives. The amount to be used based on the emulsion is 1-5% (W/V). Examples of phospholipids include egg yolk phospholipid and soy bean phospholipid, the amount to be used being 0.1-1.0% (W/V). If desired, there may be further added as an emulsifier adjuvant, for example, a fatty acid having 8-22, preferably 14-20 carbon atoms and a physiologically acceptable salt, e.g. alkali metal salt, such as sodium or potassium salt, or a monoglyceride thereof, which includes, for example, caprylic acid, capric acid, lauric acid, myristic acid, palmitic acid, stearic acid, behenic acid, palmitoleic acid, linoleic acid, arachidonic acid and sodium or potassium salt and monoglyceride thereof. The amount thereof to be used is 0.001-0.01% (W/V).

As the medium for the present emulsion, a physiologically acceptable aqueous solution, such as physiological saline solution or lactated Ringer's solution, may be employed. If necessary, there may be added thereto an agent for achieving the desired isotonicity, such as glycerol, and a plasma expander for regulating the osmotic pressure of colloidal solution, such as HES or dextran.

The emulsion of the present invention can be prepared by mixing the above-mentioned ingredients in any order to obtain a crude emulsion, and then homogenizing the crude emulsion by means of a suitable high-pressure jet type emulsifier, e.g. Manton-Gaulin type homogenizer, until the particle diameters become less than 0.3μ.

When the perfluoro compound emulsion of this invention is used, for example, as the infusion fluid for transporting oxygen, it is usually administered by intravenous infusion. The amount to be administered is 50-200 cc per one time for an adult.

The present invention is further illustrated in detail by the following Examples and Experimental Examples, which should not be construed to limit the invention thereto.

COMPOUND PREPARATION EXAMPLE 1

Into an electrolylic cell made of Monel metal with an inner volume of 1.5 l, which is provided with electrode plates (six plates as anode and seven plates as cathode) made of nickel (purity: 99.6% or higher) arranged alternately with an inter-electrode distance of 1.7-2.0 mm, the effective anode surface area being 10.5 dm², and with a reflux condenser made of copper at the upper part of the cell, was introduced 1.2 l of hydrogen fluoride, and trace amounts of impurities present in the system (moisture and sulfuric acid) were removed by preliminary electrolysis. Then, 0.85 mol (130 g) of N-methyl-perhydroquinoline was dissolved into the hydrogen fluoride, and electrolysis was carried out, while introducing helium gas from the bottom of the cell at a rate of 100 ml/min., under the conditions of anode current density of 1.0-2.0 A/dm², voltage of 4.0-6.2 V and solution temperature of 4°-10° C., until the electrolytic voltage had reached 9.0 V. The ampere-hours amounted to 1051. Hydrogen fluoride was added at a rate of 200 ml per 24 hours during the electrolysis. The gas evolved during the electrolysis was first passed through an iron pipe filled with sodium fluoride pellets to remove the accompanying hydrogen fluoride, and then led through a trap cooled with dry ice-aceton mixture to be collected by liquefaction. There was obtained 9.5 g of a colorless liquid. The electrolytic solution in the cell separated into two layers, the upper layer being hydrogen fluoride and the lower layer being fluorocarbons. After separation, the lower layer weighed 263 g.

The above-mentioned liquid collected by cooling of the evolved gas and the lower layer liquid from electrolytic cell were combined, equal volumes of 70% aqueous potassium hydroxide solution and diisobutylamine were added thereto, and the resulting mixture was refluxed for seven days. The perfluoro compounds layer was separated in a separatory funnel, washed with 90% (W/V) of aqueous acetone solution containing 10% (W/V) potassium iodide, and then subjected to precise fractional distillation on a precise fractional distillation apparatus equipped with a spinning band column to obtain 44 g of perfluoro-N-methylperhydroquinoline. Yields: 10%. B.P.: 150°-155° C./760 mmHg. This compound was analyzed by infrared absorption spectroscopy, F-nuclear magnetic resonance spectroscopy and mass spectroscopy, and was confirmed to be the objective compound, that is, perfluoro-N-methyldecahydroquinoline having the structure of the following formula: ##STR4##

COMPOUND PREPARATION EXAMPLES 2-97

In a similar manner to that described in Compound Preparation Example 1 and using the perhydro compounds listed in Table 1 as starting material, corresponding perfluoro compounds were obtained. The results were shown in Table 1. ##TBL1##

The perfluoro compound emulsion of the present invention is illustrated in detail below by the Examples and Experimental Examples using as examples perfluoro-N-methyldecahydroquinoline [hereinafter referred to as compound (II)] and perfluoro-N-methyldecahydroisoquinoline [hereinafter referred to as compound (III)], each represented by the following formula (II) and (III) respectively. ##STR5##

But this invention should not be constructed thereto.

EMULSION PREPARATION EXAMPLE 1

In 8.5 l of lactated Ringer's solution, were added 400 g of egg yolk phospholipid and 4 g of sodium palmitate, and the resulting mixture was stirred in a mixer to form an emulsified liquid. Into this liquid was added 2.5 Kg of compound (III), and the mixture was stirred further in a mixer vigorously to form a crude emulsion. The resulting crude emulsion was charged in the liquor tank of a jet emulsifier (made by Manton-Gaulin Co.) and was circulated in the emulsifier, while maintaining the liquor temperature at 50°±5° C., to effect emulsification. The resulting emulsion contained 27.3% (W/V) of compound (III). The particle diameters were 0.05-0.25μ as determined by the centrifugal sedimentation method. When the emulsion was enclosed in a vial for injection and subjected to thermal sterilization in a rotary sterilizer there was no remarkable growth in particle size.

EMULSION PREPARATION EXAMPLE 2

The procedures of Emulsion Preparation Example 1 were repeated except that compound (II) was used in place of compound (III), to obtain an emulsion. The emulsion obtained had particle diameters of 0.05-0.25μ, and showed no remarkable growth in particle size even after being subjected to thermal sterilization.

EXPERIMENTAL EXAMPLE 1 Stability of an emulsion

Water was added to each of 20 g of compound (II) and (III), respectively, and 4 g of egg yolk phospholipid to make up the total to 200 ml. The resulting mixture was emulsified by means of a Manton-Gaulin type emulsifier at a pressure of 200-600 kg/cm² under nitrogen gas stream while maintaining the liquor temperature at 40°-45° C. Each of the resulting emulsion was filtered through a membrane filter having a pore size of 0.65μ, subdivided and put into 20 ml vial. After replacing the atmosphere with nitrogen, the emulsion was heat treated at 100° C. for 30 minutes, then stored at an ambient temperature of 4° C. and examined for its stability. The particle size of the emulsion was measured by the centrifugal sedimentation method proposed by Yokoyama et al [Chem. Pharm. Bull. 22 (12), 2966 (1974)]. From the data thus obtained, the average particle size and the particle size distribution were calculated by use of a microcomputer.

In Table 2-1 and Table 2-2 were shown the particle size distribution of the respective emulsion before and after heat treatment as well as after stored at 4° C. and at room temperature (15°-28° C.) following the heat treatment. As is apparent from these results, the emulsion of the present invention was very stable to heat treatment, and there was observed no effect of heat treatment on the average particle size. Also, when stored at 4° C. after heat treatment, no growth in average particle size was observed even after 5 months.

                  TABLE 2                                                          ______________________________________                                                           Particle size                                                          Average distribution                                                           particle                                                                               % by weight                                                            diameter        0.1-    0.2-                                                   μ    <0.1μ                                                                               0.2μ 0.3μ                                                                             <0.3μ                                ______________________________________                                         Stability of compound (II) emulsion                                            Before heat     0.112     42.1  50.6  7.3  0                                   treatment                                                                      Immediately     0.115     38.2  57.8  4.0  0                                   after heat                                                                     treatment                                                                      After 2  4° C.                                                                          0.110     41.3  57.6  1.1  0                                   weeks,                                                                         room temp.      0.112     39.7  57.6  2.6  0                                   After 4  4° C.                                                                          0.113     39.4  57.9  2.7  0                                   weeks,                                                                         room temp.      0.123     32.3  61.7  6.1  0                                   After 5  4° C.                                                                          0.110     41.3  56.6  2.1  0                                   months,                                                                        Stabilitly of compound (III) emulsion                                          Before heat     0.122     39.0  50.2  10.8 0                                   treatment                                                                      Immediately     0.122     35.5  59.5  6.1  0                                   after heat                                                                     treatment                                                                      After 2  4° C.                                                                          0.123     38.1  60.7  1.2  0                                   weeks                                                                          room temp.      0.128     32.3  64.6  3.1  0                                   After 4  4° C.                                                                          0.120     37.5  61.2  1.3  0                                   weeks                                                                          room temp.      0.129     33.3  61.5  5.2  0                                   After 5  4° C.                                                                          0.123     38.0  59.7  2.3  0                                   months                                                                         ______________________________________                                    

EXPERIMENTAL EXAMPLE 2 Acute toxicity test

The acute toxicity tests were performed by using the emulsion of the present invention which had been prepared by diluting the respective emulsion of compound (II) and compound (III) shown in Table 3 with the electrolytes solution shown in the table in a ratio of 9:1 to make the resulting emulsion physiologically isotonic. Wister strain male rats (weighing 100-120 g) were used as test animals. The rats were intravenously injected with the emulsion, and observed for a period of one week after administration.

As the result, no death was observed in all the animals at a dose of 100 ml/kg body weight of both emulsion containing compound (II) or compound (III), indicating that both were of very low toxicity.

                  TABLE 3                                                          ______________________________________                                                                  Emulsion of                                                                    this inven-                                           Composition              tion                                                  ______________________________________                                         Emulsion                                                                               Perfluoro  Compound (II) or                                                                             30% (W/V)                                     component                                                                              carbon     Compound (III)                                              (9 vol.)                                                                                          Pluronic F · 68*                                                                    3.4                                                   Emulsifier Yolk phospholipid                                                                            0.6                                                              Potassium oleate                                                                             0.004                                         Electrolytes   NaCl          6.00                                              solution       NaHCO.sub.3   2.1                                               (1 vol.)       KCl           0.336                                                            Sodium lactate                                                                               --                                                               MgCl.sub.2.6H.sub.2 O                                                                        0.427                                                            CaCl.sub.2.6H.sub.2 0                                                                        0.356                                                            D-glucose     1.802                                             pH                           8.0                                               ______________________________________                                          *Polyoxyethylene-polyoxypropylene copolymer                              

EXPERIMENTAL EXAMPLE 3 Distribution among internal organs of the perfluoro compounds after administration

Wister strain male rats weighing 120-130 g were used to be administered through tail vein with the emulsion of compound (II) prepared in Emulsion Preparation Example 2 [at a dose of 4 g/kg as compound (II)]. The contents of compound (II) taken into the liver, spleen and fat tissue were determined by gas chromatography during the period of 3 months after administration.

The contents of compound (II) taken into each internal organ 1, 2 and 4 weeks and 3 months after administration were shown in Table 4. These compounds were mostly taken into the reticuloendothelial system tissue in the early stage after administration, and then diminished rapidly. The total amount of compound (II) remaining in these organs three months after administration was 0.66% of the amount administered. No adverse effect on each of the organs, liver and spleen, was observed.

From the results of above determinations the half life of compound (II) was calculated at 9.36 days.

                  TABLE 4                                                          ______________________________________                                         Time elapsed   Compound (II)                                                          after ad-               Residual                                        Organ  ministration                                                                               mg/g cell   proportion(%)                                   ______________________________________                                         Liver  1      week     9.08 (1.23) 19.58  (2.68)                                      2      weeks    5.00 (1.35) 13.67  (4.43)                                      4      weeks    0.80 (0.30) 2.79   (1.13)                                      3      months   0.06 (0.01) 0.20   (0.04)                               Spleen 1      week     67.46                                                                               (15.35)                                                                               12.17  (2.34)                                      2      weeks    43.55                                                                               (3.03) 10.41  (0.56)                                      4      weeks    20.44                                                                               (7.86) 4.07   (0.86)                                      3      months   2.20 (0.61) 0.46   (0.10)                               Fat    1      week     1.94 (0.59) 4.53   (1.30)                               tissue 2      weeks    2.72 (0.43) 7.93   (1.14)                                      4      weeks    1.21 (0.05) 4.89   (0.46)                                      3      months   0.17 (0.04) 1.08   (0.24)                               ______________________________________                                    

EXPERIMENTAL EXAMPLE 4 Anatomical consideration and change of relative weight based on body weight

Wister strain male rats weighing 120-130 g were used to be administered with 4 g/Kg of the perfluorocarbon compound emulsion each prepared in Emulsion Preparation Examples 1 and 2. During the period of three months after administration, the rats were dissected for observation of internal organs, and the weights of the organs were measured to determine the relative organ weight (g) based on the body weight (kg).

The rats were dissected 1, 2 and 4 weeks and 3 months after the administration of emulsion, and the main organs of lung, liver and spleen were visually inspected. There was observed no effect exerted on the organs with either of the compounds because of their very rapid excretion. The changes of the relative weights of liver and spleen based on the body weight were shown in FIG. 1 and FIG. 2, respectively. The differences between these values and those of the reference test animals (administered with physiological saline solution) disappeared completely after about 3 months. 

What is claimed is:
 1. A stable emulsion capable of transporting oxygen in a physiologically acceptable aqueous medium of a perfluoro compound capable of carrying oxygen, having a particle size of less than 0.3μ, which emulsion comprises an oxygen-carrying amount of at least one compound having 8-12 carbon atoms and represented by the formula: ##STR6## wherein R is a lower perfluoroalkyl group,l is 3 or 4, m is 1-3, n is 0, 1 or 2 provided the sum of m+n is 2 or 3, x is 0, 1 or 2, y is 0 or 1, and at least one lower perfluoroalkyl group may be substituted for a ring fluorine of ring A or ring B, and an emulsifying amount of an emulsifying agent and an emulsifier adjuvant.
 2. The stable emulsion of claim 1, in which the emulsifying agent is a high molecular weight nonionic surfactant having a molecular weight of 2,000 to 20,000, and the adjuvant is a phospholipid.
 3. The stable emulsion of claim 2, in which the adjuvant is, in addition, at least one fatty acid having 8 to 22 carbon atoms or physiologically acceptable salt thereof.
 4. The stable emulsion of claim 1, in which the emulsion contains at least one plasma expander selected from the group consisting of hydroxyethyl starch and dextran.
 5. The stable emulsion of claim 1, in which the perfluoro compound is perfluoro-N-methyl-decahydroquinoline or perfluoro-N-methyldecahydroisoquinoline.
 6. The stable emulsion of claim 5, in which the emulsifying agent is a high molecular weight nonionic surfactant having a molecular weight of 2,000 to 20,000 and the emulsifier adjuvant comprises a phospholipid.
 7. The stable emulsion of claim 6 in which the emulsifier adjuvant also includes at least one fatty acid having 8 to 22 carbon atoms or a physiologically acceptable salt thereof.
 8. The stable emulsion of claim 5 in which the emulsion contains at least one plasma extender selected from the group consisting of hydroxyethyl starch and dextran.
 9. The stable emulsion of claim 1 in which the amount of perfluoro compound present in the emulsion is from about 5 to about 50% (w/v).
 10. The stable emulsion of claim 9 in which the amount of perfluoro compound present is from about 10 to about 40% (w/v).
 11. The stable emulsion of claim 1 in which the amount of emulsifying agent is from about 1 to about 5% (w/v).
 12. The stable emulsion of claim 11 in which the emulsifying agent is a phospholipid present in the amount of from about 0.1 to about 1.0% (w/v).
 13. The stable emulsion of claim 1 in which the amount of emulsifier adjuvant is from about 0.001 to about 0.01% (w/v).
 14. The stable emulsion of claim 1 in which the emulsion comprises, in % (w/v):perfluoro compounds: 5 to 50; emulsifying agent: 1 to 5; emulsifying adjuvant: 0.001 to 0.01.
 15. A method of treating a mammal suffering from massive hemorrhage comprising administering to the mammal an oxygen-carrying effective amount of an aqueous emulsion effective to transport oxygen in the mammal and having a particle size of less than 0.3μ of a perfluoro compound and represented by the formula: ##STR7## wherein R is a lower perfluoroalkyl group,l is 3 or 4, m is 1-3, n is 0, 1 or 2 provided the sum of m+n is 2 or 3, x is 0, 1 or 2, y is 0 or 1, and at least one lower perfluoroalkyl group may be substituted for a ring fluorine of ring A or ring B, and an emulsifying amount of an emulsifying agent and an emulsifier adjuvant.
 16. The method of claim 15 in which the emulsion comprises, in % (w/v):perfluoro compounds: 5 to 50; emulsifying agent: 1 to 5; emulsifying adjuvant: 0.001 to 0.01.
 17. The method of claim 15 in which the amount administered is in the range of about 50 to about 200 ml per administration.
 18. A method of transporting oxygen in a mammal comprising administering to the mammal an oxygen-carrying effective amount of an aqueous emulsion effective to transport oxygen in the mammal and having a particle size of less than 0.3μ of a compound and represented by the formula: ##STR8## wherein R is a lower perfluoroalkyl group,l is 3 or 4, m is 1-3, n is 0, 1 or 2 provided the sum of m+n is 2 or 3, x is 0, 1 or 2, y is 0 or 1, and at least one lower perfluoroalkyl group may be substituted for a ring fluorine of ring A or ring B, and an emulsifying amount of an emulsifying agent and an emulsifier adjuvant.
 19. The method of claim 18 in which the emulsion comprises, in % (w/v):perfluoro compounds: 5 to 50; emulsifying agent: 1 to 5; emulsifying adjuvant: 0.001 to 0.01.
 20. The method of claim 18 in which the amount administered is in the range of about 50 to about 200 ml per administration.
 21. A method according to claim 18 comprising intravenously injecting the emulsion into the mammal. 